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. 2025 Jan 14;9:e66181. doi: 10.2196/66181

Table 2.

Mean, SD, Friedman Test, and effect size statistics for study variables for ITTa and ATPb samplesc.

Variable Baseline, mean (SD) 3 months, mean (SD) 6 months, mean (SD) 9 months, mean (SD) 12 months, mean (SD) Friedman test Effect size d (pre-post 95% CI)






Chi-square (df P value
Effectiveness measures

ITT (n=39)


Borderline symptoms (BSL-23d) 2.00 (0.76) 1.59 (0.78) 1.54 (0.84) 1.57 (0.86) 1.20 (0.65) 38.8 (4) <.001 1.13 (0.64-1.61)


Quality of life (ReQoLe) 1.48 (0.60) 1.83 (0.55) 2.01 (0.74) 1.71 (0.67) 1.93 (0.76) 31.0 (4) <.001 0.65 (1.12-0.19)


Dissociation (DSSf) 0.91 (0.61) 0.81 (0.59) 0.80 (0.68) 0.79 (0.44) 0.65 (0.55) 12.3 (4) .015 0.45 (–0.01 to 0.90)

Per Protocol (ATP; n=18)


Borderline symptoms (BSL-23) 1.98 (0.85) 1.38 (0.80) 1.47 (0.96) 1.22 (0.87) 0.91 (0.60) 24.9 (4) <.001 1.44 (0.70-2.17)


Quality of life (ReQoL) 1.55 (0.58) 1.93 (0.48) 2.15 (0.81) 2.05 (0.65) 2.33 (0.68) 14.5 (4) <.001 1.24 (0.64-1.61)


Dissociation (DSS) 0.99 (0.67) 0.83 (0.64) 0.88 (0.86) 0.68 (0.50) 0.72 (0.75) 11.1 (4) .023 0.37 (–0.29 to 1.04)


NSSIg (%; DSHIh) 0.80 (0.41) 0.68 (0.48) 0.40 (0.50) 0.42 (0.50) 0.28 (0.46) 16.6 (4) <.001 0.35 (RRi)
Acceptance Measures

Client measures


Client satisfaction (1-4; CSQj) k 3.33 (0.54) 3.40 (0.74)


Useability of technology (0-4; UTAUTl) 2.81 (0.59) 2.83 (0.72) 3.13 (0.67)


Therapeutic alliance (1-7; WAIm) 5.52 (1.08) 5.89 (0.75) 5.65 (1.28)

Therapist measures


Acceptance (1-5; AIMn) 4.21 (0.74) 4.53 (0.61)


Useability of technology (0-4; UTAUT) 2.48 (0.84) 2.57 (0.71)


Therapeutic alliance (1-7; WAI) 5.24 (0.98) 5.30 (0.99) 5.40 (0.88)

aITT: intention-to-treat.

bATP: according-to-protocol.

cEffect Sizes for continuous data were calculated using Cohen d. Effect sizes for categorical data (ie, NSSI) were calculated using risk ratio estimates.

dBSL-23: Borderline Symptom List-23.

eReQoL: recovering quality of life.

fDSS: Dissociative Symptom Scale.

gNSSI: nonsuicidal self-injury.

hDSHI: Deliberate Self-Harm Inventory.

iRR: risk ratio

jCSQ: Client Satisfaction Questionnaire.

kNot applicable because variable was not assessed at this time-point

lUTAUT: unified theory of acceptance and use of technology.

mWAI: Working Alliance Inventory.

nAIM: Acceptability of Intervention Measure.